The document outlines a call to action for the NHS to engage the public in a debate about the future of health and care provision in England. It discusses holding local, regional and national events as well as using online resources to get meaningful views and data from the public to help develop 3-5 year commissioning plans. It notes pressures like an aging population and increasing costs that threaten to overwhelm the NHS. Fundamental changes are needed to deliver healthcare differently by harnessing technology, empowering people to manage their own health, integrating services, and addressing other challenges. The document asks for feedback on engagement tools, ideas to address issues, and views on what health services could look better for carers.